The AMA and RAND Corp. release findings from a study assessing how physicians view new pay models. Also this week, earnings season continues.
Nearly half of accountable care organizations surveyed said they now intend to stay in the Medicare Shared Savings Program even though they could be facing downside risk soon, a change of heart from previous surveys.
About 1,300 providers, including 832 hospitals, have joined the Bundled Payment for Care Improvement Advanced alternative pay model. Providers will get a fixed price for an episode of care and be at risk for up to 20% of costs if they exceed a target.
Academic medical centers will bear the brunt of the CMS' proposed outpatient site-neutral policy should it be finalized, according to an analysis by the Integrated Health Care Coalition.
The AHA is looking for lawmakers to join its fight against the CMS' proposed site-neutral payment policy that would equalize Medicare rates for off-campus hospital facilities and independent physicians' offices.
A Medicare model aimed at patients who wanted hospice as well as curative care did not do well in its first year because hospice providers fled the program and doctors were not interested in participating.
A bipartisan group of senators urged the CMS to expand a Medicare Advantage experiment and include substance abuse disorder treatment in the program. The move could help combat the opioid epidemic, they claim.
Providers warned the CMS that its proposal to let thousands of doctors continue to sit out of the Merit-based Incentive Payment System undermines their investments to comply with the program as well as the health of seniors.
Providers are urging the CMS not to finalize a rule that could prevent patients from taking infusion drugs at home. If the agency moves forward with the plan, it could lead to higher Medicare costs as more patients may need to seek treatment at hospitals.
Medical procedures are moving into outpatient facilities, mainly due to technological advances such as minimally invasive surgical procedures. But value-based care incentives are also playing a role in this trend.
Providers worry that the CMS, in its push to give patients greater access to both price and care information, may do more harm than good.
As the CMS charts a path to level pay for outpatient services, it's also leading toward a head-to-head battle with powerful hospital lobbying groups as some providers win and lose with site-neutral payments.